Family Health Insurance Plan | Compare & Buy Online

What Is Family Health Insurance Plan?

Family health insurance plan is a special type of medical coverage that includes all the members of your family under a single policy. Under this plan, a fixed sum insured is shared by all family members assuming not everyone gets sick at the same time. Many Family Health Insurance Plans in India offer cashless hospitalization, maternity care benefits, and coverage for medical expenses before and after a hospital stay.

Best Family Health Insurance Plans in India 2024

Choosing the right family health insurance plan is essential for protecting your loved ones. Below we have listed some of the best family health insurance plans in India, offering excellent coverage and reliable service:

Insurance Companies	Mediclaim Policies	Claim Settlement Ratio (CSR)	Network Hospital	Sum Insured Range (Rs)
Care Insurance	Care Supreme Direct	100%	246	Up to Rs. 6 Cr
Niva Bupa	ReAssure 2.0 Bronze+ (Direct)	100%	258	Up to Rs. 3 Cr
Star Health	Smart Health Pro	99.1%	291	Up to Rs. 2 Cr
Aditya Birla Capital	Activ Fit PlusActiv Fit Plus	99.4%	332	Up to Rs. 2 Cr
Bajaj Allianz	Health Guard Family Floater Gold	96.6%	301	Up to Rs. 1 Cr
HDFCERGO	Optima Secure	98.5%	397	Up to Rs. 2 Cr

Get A Quote

What are the Benefits of a Family Health Insurance Plan?

There are lots of benefits that you can avail in a single policy. Let’s check it out:

Cover of hospitalization Expenses

In a critical situation, having a cashless payment option is crucial. With this plan, your family member covered by the insurance can receive cashless treatment at any hospital within the network.

Cover for Parents

Insuring your parents with separate policies can be expensive. Instead, consider a family plan to save on premiums and provide coverage for all family members in a single policy.

Insure New Family Members

If you have an individual plan, you can't add new family members; you need to buy a new one. However, with a family plan, you can easily include new family members by paying an additional premium.

Tax Benefits

When you purchase a health insurance plan and pay the premium, you become eligible for a tax exemption on health insurance premiums under section 80D of the Income Tax Act.

Additional Benefits

In addition to coverage, your plan offers various benefits like critical illness coverage and maternity coverage.

Financial Security

Choosing a family health insurance policy lowers your financial risks and offers crucial help during emergencies.

What is covered in a Health Insurance Plan for Family?

Take a moment to look at the most available coverage on the family health insurance plans:

Hospitalization Expenses

Your health insurance covers medical expenses for hospital stays longer than 24 hours, whether due to illness or accidental injury.
Day Care Procedures

It covers the cost of your daycare procedures.
Ambulance Charges

It will cover your ambulance charges during a medical emergency.
Pre and Post-Hospitalization Expenses

The family health plan includes coverage for both pre and post-medical expenses, like medical tests, consultations, and investigations.
Maternity Cover

Many plans include maternity coverage, which takes care of expenses related to pregnancy and newborns.

Organ Donor Expenses

It covers organ transplant-related expenses.
AYUSH Treatment

You can use your coverage if hospitalization is needed for Ayurveda, Homeopathy, Yoga, Siddha, and Unani treatments.
Domiciliary Treatment

This covers your medical expenses when you receive treatment at home as advised by a doctor.
Mental Illness Cover

You can access coverage for mental illnesses like depression, anxiety, and schizophrenia, among others.

What is not covered in a Family Health Insurance Plan?

Before buying the health insurance for family, carefully read the policy documents to understand every aspect. Here are some of the medical expenses that are not covered in the plan

OPD treatments and routine medical check-ups.
Expenses on any aesthetic treatment or plastic surgeries.
Expenses on life-support machines.
Abroad medical treatment, unless it’s in your plan.
Any illness or injury due to war, nuclear reaction, acts of foreign enemies, etc.
Injury or illness due to criminal activities.
Pregnancy or childbirth-related complications such as miscarriage or abortion. Unless it’s covered in the plan.
Any pre-existing medical condition until the completion of the waiting period.
Self-injuries.

Get A Quote

What Are The Eligibility Criteria For A Family Health Insurance Policy?

You have to look for eligibility criteria of the insurance companies that vary from one plan to another. Look at the following table

Categories	Specifications
Minimum Entry Age	Adult – 18 years Children – 90 days
Maximum Entry Age	Adult – 65 years Children – 25 years
Family Members Covered	Self, Your Spouse, Children, Parents and Parents-In-Law
Renewability	Lifetime

Individual Health Insurance Vs Family Health Insurance

Take a look at the comparison to check what is better an individual plan or a family health insurance policy

Parameters	Individual Health Insurance	Individual Health Insurance
Coverage	The coverage amount only takes care of the one person on the plan.	The total coverage amount is distributed among every member of the family.The total coverage amount is distributed among every member of the family.
Benefits	Enhanced coverage offers the full sum insured to the insured person.	It’s cheaper because you pay one premium for the whole family instead of individual payments for each member.
Drawbacks	These plans can sometimes be more expensive.	The coverage amount may fall short of providing for all family members.
Ideal For	Great for larger families with elderly parents (over 60) as a family floater plan might not cover all costs.	Best suited for smaller or younger couples.

Things to Consider Before Buying a Health Insurance Policy For Family

I have mentioned some important points that you must consider before buying a Family Health Insurance Plan in India

Check Coverage

Get a health insurance policy for family that covers the family's health needs, like daycare, hospital stays, ambulance charges, and expenses before and after the hospital visit.

Buy a Plan with the Sum Insured Enhancement Option

Medical costs rise annually. So, choose a plan that lets you increase the coverage amount when you renew.

Check for Cashless Hospitalization

Make sure to find out which insurance companies offer the most coverage for hospitals near your home.

Check the Maximum Renewal Age

Choose a plan that allows policy renewals until the oldest family members reach 60/65 years old.

Hassle-free Claim Settlement

Go for a plan with a fast and straightforward claim settlement process. Be sure to review and comprehend the claim settlement procedure.

Health Check-Up

Ensure that the insurance company covers expenses for health check-ups before hospitalization.

Why To Buy Health Insurance Plans For Family Online?

There are several ways to purchase insurance policies. Visiting insurance companies and examining each plan can be time-consuming and costly. On the other hand, buying health insurance online saves both time and money while granting access to various policies. Let's explore a few reasons to opt for online purchases

More Convenient: Buying insurance online is easy. You can compare plans and get expert advice without filling out forms or waiting in lines.
Payment Modes: Paying premiums offline with cash or checks takes time. Online modes offer digital payment options like debit/credit cards, net banking, UPI, and more for faster transactions.
Instant Policy Issuance: These days, you don't have to wait for weeks to get your policy document. Online, your policy is issued instantly, and you can see all the details right away.

Get A Quote

Documents Required To Buy A Family Health Insurance Plan

Buying a family health insurance plan in India is a necessary step towards ensuring the well-being of your loved ones. To make the process smoother, it's essential to have the necessary documents ready.

Here's a list of documents you'll need to apply for a family health insurance plan:

Proposal Form

The first document you'll need is the proposal form. This form provides basic information about your family, such as names, ages, and medical history.

Age Proof

Each family member's age needs to be documented. Birth certificates, school certificates, or any government-issued ID can serve as age proof.

Address Proof

Proof of residence, such as a utility bill, Aadhar card, or passport, is essential for communication and correspondence with the insurer.

Identity Proof

Valid identity proof for each family member is required. This can include Aadhar cards, passports, voter ID cards, or driver's licenses.

How To Claim For A Family Health Insurance Plan?

There are two ways that you can use to file a claim and the procedures are cashless claims and reimbursement claims. Let’s understand all of this:

Cashless Claim Process

Step1: Inform your insurance company of the health emergency.
Step2: Fill up the pre-authorization form, which you can find on the official website. If you can not able to find the form, contact customer care.
Step3: After filling out the pre-authorization form, submit with required documents to the hospital who will forward it to your insurer.
Step4: If the claim request is approved, you will get a letter of approval.

Reimbursement Claim Process

Step1: Tell your insurance company about your medical emergency.
Step2: Receive the treatment at a non-network or other hospital.
Step3: Pay the hospital bills and collect all the documents at discharge.
Step4: Submit the reimbursement claim form along with other required documents to your insurer.
Step5: The claim management team will review your claim.
Step6: If your claim has been verified, you will receive a letter of approval from the team.

Documents Required to File Family Health Insurance Claims

There are certain documents that you need to file a claim to avail insured amount:

A claim form that you can download from your insurer's website.
Original bills such as pharmacy purchases, consultations, and diagnostic bills.
KYC documents such as an Aadhar Card, PAN Card, and Photo.
Bank details to transfer the claim amount.
This includes medical reports, case histories, investigation reports, treatment records, and discharge summaries.